19-100610City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: FAMILY LIFE CHRISTIAN CENTER
Project Address: 1925 S 341ST PL
Building - Commercial
Permit #:19-100610-00-CO
Inspection Request Line: (253) 835-3050
Project Description: TI - Soft Demo only of three walls to create open office space.
Parcel Number: 390380 0050
Owner
Applicant
Contractor
Lender
EVELYN CASTELLAR
JONATHAN LARSON
OWNER IS CONTRACTOR
OWNER IS LENDER
32517 39TH PL SW
721 SW 365TH ST
FEDERAL WAY WA
FEDERAL WAY WA 98023
98023-2647
Census Category: 437 - Commercial alt / add / conversion
Includes:
#1
#2 • '?
#4
Occupancy Class:
Construction Type:
Occupancy Load:
■
Floor Area (sq. ft.)
dditiona Permit Information 2
Mechanical to be Included? ...................... ' Number of Stories ..... --....................... ................... I
f
Is this an Online tr 1.T.C. a�liealioil7.................. ❑ tit for Building Shell Only?.............................. No
Plumbing to h ed?.... ... No
Total VIduati❑ ,000.00
No Fixtures Associated With This Permit It
CONDITIONS:
Subjcct to field inspection without plans.
PERMIT EXPIRES Monday, 5 August, 2019
Permit Issued on Wednesday, February 6, 2019
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of
Washington and the City of Federal Way.
Owner or agent: � .� pate. �e�i, �' 2� �r1
THIS CARD IS TO REMAIN ON -SITE
���°F ^ THIS
Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 19 100610 00 Address: 1925 S 341ST PL
Project: JOSE CASTELLAR FEDERAL WAY WA 98003-6006
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible
(read left to sight, top to bottom). Please schedule inspections as appropriate. Work must not be covered tintit it is approved. Check with your inspector if
you are unsure about any of the inspections or the inspection sequence. On -going inspections are logged on the back of this card.
0 Final - Building (4050)
Approved
By Date
Rough Electrical
Final Electrical
❑
Right of Way
Approved
Approved
IBY
Approved
By
Date
I By
Date
Date
RECEIVED
F 2o�s PERMIT APPLICATION
CITY Of �� EB 0 6
PERMIT CENTER + 33325 8'h Avenue South +Federal Way, WA 98003-6325
Federal Way CITY OF FEDERAL WAY 253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
COMMUNFTY DEVELOPMENT S f— —
PERMIT NUMBER 1 _ I �/ 0 `E0 � � — � 0 TARGET DATE � �� \\ J � e� \S 3
SITE ADDRESS
FR, -A
3UITE/UNIT #
, A C a
PROJECT VALUATION
$?,Coo
ZONING
ASSESSOR'S TAX/PARCEL #
--q- 0
TYPE OF PERMIT
� k',UILDING
❑ PLUMBING ❑ M�E'CHANICAL KDFMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
vA:
L ( f C P e. is T , i- r N C (A le
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
�m\L
Ly t
C,�mcnun�l� C�,,v,tc�
PRIMARY PHONE
2S"�- hSa— _�ZIS
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
CITY \ \
STATE
,v_Vf
zip
0\
NAME
C7WC
�S
Ccn�c�,C� or
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT -
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
concerning this application)
PROJECT FINANCING
When value is $5, 000 or more
(RCW 19.27.095)
NAME \\ 1
MAILING ADDRESS
rll S\-&
CITY STATE
NAME
MAILING ADDRESS
CITY
NAME
MAILING ADDRESS, CITY, STATE, ZIP
ZIP
STATE I ZIP
PRIMARY PHONE
Ctis3�--326 3� u��
E-MAIL
FAX
PRIMARY PHONE
E-MAIL
FAX
OWNER -FINANCED
PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any perA)n, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information sup fed to the city apart of this application.
SIGNATURE: DATE F e�o
PRINT NAME: S` ��^ �.c 4
Bulletin #100 -January 29, 2016 Page 1 of 2 kAHandouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL ,PERMIT $
Indicate how M5M of each type qffWur& to be installed or relocated as Part of this pr9ject. Do not include exisling fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING PERMIT
'.
VALUE OFPLUMBING WORK
Indicate how many of each Wpe o
LC{ure to be installed or relocated as
tut o this ro ect. Do not include
st[ lures to remain.
BATHTUBS (or Tub/Shower Combo)
LAVS (Hand Sinks)
TOILETS
WATERPIPINQ
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/Utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
Yes ❑ No
❑ Yes ^ �No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
Area Totals
EXISTING
PROPOSED
TOTAL
**NEW HOMES
ONLY**
ESTIMATED SELLING PRICE
I # OF BEDROOMS
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy s
p y Group(s) p()
Construction
Type
# of
StoriesAdditional
Information
NEW BUILDING
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in S uare Feet
Occupancy Group(s)
Construry2ection
St es
Additional Information
TOTAL BUILDING
`t ! ❑ ) �*
2
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #-100 — January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application